# IHC HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bountiful Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588799654
- **Authorized official:** DR. LINDA C LECKMAN MD (CEO INTERMOUNTAIN MEDICAL GROUP)
- **Authorized official phone:** (801) 442-3974

## Contact information

- **Practice address:** 390 N MAIN ST, BOUNTIFUL, UT 84010-6046
- **Practice address phone:** (801) 294-1000
- **Mailing address:** PO BOX 27128, SALT LAKE CITY, UT 84127-0128
- **Mailing address phone:** (801) 294-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 2006-31121 | UT | — |
| 207K00000X | Allergy & Immunology Physician | 2006-31121 | UT | — |
| 207Q00000X | Family Medicine Physician | 2006-31121 | UT | Yes |
| 207R00000X | Internal Medicine Physician | 2006-31121 | UT | — |
| 207V00000X | Obstetrics & Gynecology Physician | 2006-31121 | UT | — |
| 208000000X | Pediatrics Physician | 2006-31121 | UT | — |
| 2085B0100X | Body Imaging Physician | 2006-31121 | UT | — |
| 2085U0001X | Diagnostic Ultrasound Physician | 2006-31121 | UT | — |
| 208600000X | Surgery Physician | 2006-31121 | UT | — |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 07/30/2008
